Gastropexy according to Oppel

Gastropexy according to Oppel (Latin - gastropexy Oppelii) is a surgical method of lifting the stomach, which is used in the treatment of hiatal hernia. The method was developed by the German surgeon Karl Alois Oppel in 1874. This operation is considered one of the most difficult types of abdominal surgery.

Abdominal surgery cardia If the umbilical hernia is small and not accompanied by bleeding, it is operated on under local anesthesia. It is preferable to perform the operation in the fourth to sixth month of pregnancy, when the child is not yet developed enough to require more space for growth. If the navel prolapse is very significant and is accompanied by torsion, then extensive surgery under general anesthesia is necessary. The best result is obtained by the operation if it is performed in the fourth month. For ease of operation, the stomach must be brought to the upper border of the chest. Then the intervention is performed only on the abdominal wall, without affecting the thoracic aorta and phrenic nerves. Part of the tissues of the chest wall, pushing back the diaphragm, descends; the descent of the middle part of the diaphragm intensifies, and the oval fossa of the navel decreases. During the operation, the vagus nerves are damaged and contractions of the stomach stop, as a result, there is no peristaltic movement of food in the stomach, which ensures a good fit of the stomach to the anterior wall of the abdominal cavity. To avoid perforation or other serious complications, it is necessary to strictly monitor the functioning of the heart. After the operation, you need to carefully monitor the condition of the internal organ, maintaining the temperature near it at 36-37 degrees above zero. Timely surgery saves a woman from a serious illness and successfully makes motherhood more accessible to her.